SHAILESH CHANDRAMOHAN GARG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

Title

First Name

SHAILESH

Middle

CHANDRAMOHAN

Last Name

GARG

Business Name

SHAILESH CHANDRAMOHAN GARG MD

Original Issue Date

05/09/2019

Effective Date

05/09/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021